Do Trunk Muscles Affect the Lumbar Interbody Fusion Rate?: Correlation of Trunk Muscle Cross Sectional Area and Fusion Rates after Posterior Lumbar Interbody Fusion Using Stand-Alone Cage

Study Design: Retrospective cohort study. Background: Percutaneous pedicle screws (PPS) have the advantage of being able to better preserve the paraspinal muscles when compared with a traditional open approach. However, the nature of changes in postoperative paraspinal muscle after damage by lumbar fusion surgery has remained largely unknown. It is clinically important to clarify and compare changes in paraspinal muscles after the various surgeries. Objective: (1) To determine postoperative changes of muscle density and cross-sectional area using computed tomography (CT), and (2) to compare paraspinal muscle changes after posterior lumbar interbody fusion (PLIF) with traditional open approaches and minimally invasive lateral lumbar interbody fusions (LLIF) with PPS. Methods: We included data from 39 consecutive female patients who underwent open PLIF and 23 consecutive patients who underwent single-staged treatment with LLIF followed by posterior PPS fixation at a single level (L4-5). All patients underwent preoperative, 6 months postoperative, and 1-year postoperative CT imaging. Measurements of the cross-sectional area (CSA) and muscle densities of paraspinal muscles were obtained using regions of interest defined by manual tracing. Results: We did not find any decrease of CSA in any paraspinal muscles. We did find a decrease of muscle density in the multifidus at 1 year after surgery in patients in the PILF group, but not in those in LLIF/PPS group. Conclusions: One year after surgery, a significant postoperative decrease of muscle density of the multifidi was observed only in patients who underwent open PLIF, but not in those who underwent LLIF/PPS.

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Jump performance and thigh muscle cross-sectional area in young female rhythmic gymnasts

Gazzetta Medica Italiana Archivio per le Scienze Mediche ◽

10.23736/s0393-3660.18.03698-7 ◽

2019 ◽

Vol 178 (3) ◽

Author(s):

Antonio Cicchella ◽

Monica Mannai ◽

Jaan Ereline ◽

Mati Paasuke ◽

Helena Gapeyeva

Keyword(s):

Young Female ◽

Cross Sectional Area ◽

Thigh Muscle ◽

Sectional Area ◽

Cross Sectional ◽

Jump Performance ◽

Muscle Cross Sectional Area ◽

Rhythmic Gymnasts

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Is there a correlation between upper lumbar disc herniation and multifidus muscle degeneration? A retrospective study of MRI morphology

BMC Musculoskeletal Disorders ◽

10.1186/s12891-021-03970-x ◽

2021 ◽

Vol 22 (1) ◽

Author(s):

Chong Liu ◽

Jiang Xue ◽

Jingjing Liu ◽

Gang Ma ◽

Abu Moro ◽

...

Keyword(s):

Lumbar Disc Herniation ◽

Lumbar Disc ◽

Fatty Infiltration ◽

Cross Sectional Area ◽

Sectional Area ◽

Muscle Degeneration ◽

Multifidus Muscle ◽

Cross Sectional ◽

Upper Lumbar Disc Herniation ◽

Muscle Cross Sectional Area

Abstract Background The purpose of the study is to investigate the correlation between upper lumbar disc herniation (ULDH) and multifidus muscle degeneration via the comparison of width, the cross-sectional area and degree of fatty infiltration of the lumbar multifidus muscle. Methods Using the axial T2-weighted images of magnetic resonance imaging as an assessment tool, we retrospectively investigated 132 patients with ULDH and 132 healthy individuals. The total muscle cross-sectional area (TMCSA) and the pure muscle cross-sectional area (PMCSA) of the multifidus muscle at the L1/2, L2/3, and L3/4 intervertebral disc levels were measured respectively, and in the meantime, the average multifidus muscle width (AMMW) and degree of fatty infiltration of bilateral multifidus muscle were evaluated. The resulting data were analyzed to determine the presence/absence of statistical significance between the study and control groups. Multivariate logistical regression analyses were used to evaluate the correlation between ULDH and multifidus degeneration. Results The results of the analysis of the two groups showed that there were statistically significant differences (p < 0.05) between TMCSA, PMCSA, AMMW and degree of fatty infiltration. The multivariate logistic regression analysis indicated that the TMCSA, PMCSA, AMMW and the degree of fatty infiltration of multifidus muscle were correlated with ULDH, and the differences were statistically significant (P < 0.05). Conclusions A correlation could exist between multifidus muscles degeneration and ULDH, that may be a process of mutual influence and interaction. Lumbar muscle strengthening training could prevent and improve muscle atrophy and degeneration.

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NON-ORAL POSTER 38: Comparison of External Anal Sphincter Muscle Cross-Sectional Area Between Women With and Without Prolapse

Journal of Pelvic Medicine and Surgery ◽

10.1097/00146866-200603000-00066 ◽

2006 ◽

Vol 12 (2) ◽

pp. 94-95

Author(s):

Y Hsu ◽

M Huebner ◽

L Chen ◽

R U. Margulies ◽

D E. Fenner ◽

...

Keyword(s):

Anal Sphincter ◽

External Anal Sphincter ◽

Cross Sectional Area ◽

Sphincter Muscle ◽

Sectional Area ◽

Cross Sectional ◽

Anal Sphincter Muscle ◽

Muscle Cross Sectional Area ◽

External Anal Sphincter Muscle

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Muscle thickness correlates to muscle cross-sectional area in the assessment of strength training-induced hypertrophy

Scandinavian Journal of Medicine and Science in Sports ◽

10.1111/sms.12961 ◽

2017 ◽

Vol 28 (3) ◽

pp. 846-853 ◽

Cited By ~ 66

Author(s):

M. V. Franchi ◽

S. Longo ◽

J. Mallinson ◽

J. I. Quinlan ◽

T. Taylor ◽

...

Keyword(s):

Strength Training ◽

Muscle Thickness ◽

Cross Sectional Area ◽

Sectional Area ◽

Cross Sectional ◽

Muscle Cross Sectional Area

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Cortical Bone Trajectory Screws in Posterior Lumbar Interbody Fusion: Minimally Invasive Surgery for Maximal Muscle Sparing—A Prospective Comparative Study with the Traditional Open Technique

BioMed Research International ◽

10.1155/2018/7424568 ◽

2018 ◽

Vol 2018 ◽

pp. 1-7 ◽

Cited By ~ 14

Author(s):

Nicola Marengo ◽

Marco Ajello ◽

Michele Federico Pecoraro ◽

Giulia Pilloni ◽

Giovanni Vercelli ◽

...

Keyword(s):

Comparative Study ◽

Interbody Fusion ◽

Pedicle Screws ◽

Posterior Lumbar Interbody Fusion ◽

Fusion Rate ◽

Lumbar Interbody Fusion ◽

Significant Difference ◽

Prospective Comparative Study ◽

One Year ◽

Muscular Damage

Introduction. A prospective comparative study between classical posterior interbody fusion with peduncular screws and the new technique with divergent cortical screws was conducted. Material and Methods. Only patients with monosegmental degenerative disease were recruited into this study. We analyzed a cohort of 40 patients treated from January 2015 to March 2016 divided into 2 groups (20 patients went to traditional open surgery and 20 patients under mini-invasive strategy). Primary endpoints of this study are fusion rate and muscular damage; secondary endpoints analyzed were three different clinical scores (ODI, VAS, and EQ) and the morbidity rate of both techniques. Results. There was no significant difference in fusion rate between the two techniques. In addition, a significant difference in muscular damage was found according to the MRI evaluation. Clinical outcomes, based on pain intensity, Oswestry Disability Index status, and Euroquality-5D score, were found to be also statistically different, even one year after surgery. This study also demonstrated a correlation between patients’ muscular damage and their clinical outcome. Conclusions. Cortical bone trajectory screws would provide similar outcomes compared to pedicle screws in posterior lumbar interbody fusion at one year after surgery, and this technique represents a reasonable alternative to pedicle screws.

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Early resistance training-induced increases in muscle cross-sectional area are concomitant with edema-induced muscle swelling

European Journal of Applied Physiology ◽

10.1007/s00421-015-3243-4 ◽

2015 ◽

Vol 116 (1) ◽

pp. 49-56 ◽

Cited By ~ 79

Author(s):

Felipe Damas ◽

Stuart M. Phillips ◽

Manoel E. Lixandrão ◽

Felipe C. Vechin ◽

Cleiton A. Libardi ◽

...

Keyword(s):

Resistance Training ◽

Cross Sectional Area ◽

Sectional Area ◽

Cross Sectional ◽

Muscle Cross Sectional Area

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Microendoscope-Assisted Versus Open Posterior Lumbar Interbody Fusion for Lumbar Degenerative Disease: A Multicenter Retrospective Cohort Study

Medicina ◽

10.3390/medicina57020150 ◽

2021 ◽

Vol 57 (2) ◽

pp. 150

Author(s):

Masayoshi Fukushima ◽

Nozomu Ohtomo ◽

Michita Noma ◽

Yudai Kumanomido ◽

Hiroyuki Nakarai ◽

...

Keyword(s):

Interbody Fusion ◽

Intraoperative Complications ◽

Operating Time ◽

Posterior Lumbar Interbody Fusion ◽

Fusion Rate ◽

Open Group ◽

Lumbar Interbody Fusion ◽

Lumbar Degenerative Disease ◽

Radiographic Findings ◽

One Year

Background and objectives: Minimally invasive surgery has become popular for posterior lumbar interbody fusion (PLIF). Microendoscope-assisted PLIF (ME-PLIF) utilizes a microendoscope within a tubular retractor for PLIF procedures; however, there are no published reports that compare Microendoscope-assisted to open PLIF. Here we compare the surgical and clinical outcomes of ME-PLIF with those of open PLIF. Materials and Methods: A total of 155 consecutive patients who underwent single-level PLIF were registered prospectively. Of the 149 patients with a complete set of preoperative data, 72 patients underwent ME-PLIF (ME-group), and 77 underwent open PLIF (open-group). Clinical and radiographic findings collected one year after surgery were compared. Results: Of the 149 patients, 57 patients in ME-group and 58 patients in the open-group were available. The ME-PLIF procedure required a significantly shorter operating time and involved less intraoperative blood loss. Three patients in both groups reported dural tears as intraoperative complications. Three patients in ME-group experienced postoperative complications, compared to two patients in the open-group. The fusion rate in ME-group at one year was lower than that in the open group (p = 0.06). The proportion of patients who were satisfied was significantly higher in the ME-group (p = 0.02). Conclusions: ME-PLIF was associated with equivalent post-surgical outcomes and significantly higher rates of patient satisfaction than the traditional open PLIF procedure. However, the fusion rate after ME-PLIF tended to be lower than that after the traditional open method.

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